Program Manager(Revenue Cycle)
Spectraforce
US
Remote
3 days ago
Job Description
Job Title: Program Manager(Revenue Cycle)
Project Duration: 12 months
Location :- 100% Remote
Role Description:
Top Requirements (Must-Have)
• 5–7+ years Healthcare IT Program Management experience
• Revenue Cycle experience required
• Prior Authorization workflow knowledge
• Experience leading large, cross-functional programs
• Strong stakeholder and executive communication skills
Role Overview
Lead complex Healthcare IT programs focused on prior authorization automation, improving integration between providers and payers and reducing administrative burden across the revenue cycle.
Key Responsibilities
• Deliver programs across scope, schedule, budget, and quality constraints
• Lead cross-functional teams and multiple concurrent projects
• Manage risks, issues, budgets, and program execution
• Drive stakeholder alignment across clinical, IT, and payer teams
• Lead vendor partnerships (such as Humata)
• Drive adoption of new workflows and systems
Technical & Domain Expertise (such as)
• Prior Authorization & Utilization Management workflows
• HL7 FHIR & interoperability frameworks (e.g., Da Vinci guides)
• EDI transactions (e.g., X12 278)
• EHR integrations (Epic, Cerner)
Regulatory Knowledge
• CMS prior authorization mandates
• HIPAA / PHI compliance
Education & Certifications
• Bachelor’s degree (technical field preferred)
• PMP / PMI certification preferred
Applicant Notices & Disclaimers
- For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 45.00/hr.